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Because vitamin B 12 in supplements is not bound to protein, and because intrinsic factor (IF) is still available, the absorption of supplemental vitamin B 12 is not reduced as it is in pernicious anemia

Elevated serum vitamin B12 can result from several distinct mechanisms, broadly categorised into increased intake, impaired excretion, or release from tissue stores

Think of it this way: if your heart's electrical system is like a house's wiring, a B12 deficiency might cause a "brownout" (like anemia-induced tachycardia), but there could be other wiring issues your device can spot, too

may vary elsewhere

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